Persistent headache, dizziness, numb feeling in face and hoarseness led the 25 years old fellow to the hospital. All the neurological examinations suggested the central nervous system idiopathic inflammatory demyelinating disease. However, a differential diagnosis of CSF and serum hinted towards a CNS pathological condition.
Clinical features: At the time of admission- Mild prickling pain of the right occipital, dizziness, numbness in the right side of face for 8 days and Hoarseness for the last 4 days Neurological examination- revealed hypoesthesia on the right side of the face and tenderness of exit of the greater occipital nerve; Impaired pharynx reflex, Negative for meningeal irritation, body temperature was 36.5°C. Blood examination- Normal inflammatory markers, TORCH, and EB virus antibody Lumbar puncture- pressure was 175 mmH 2 On admission- Cerebrospinal fluid (CSF) and Serum…
